Provider Demographics
NPI:1275763559
Name:ALLIED BEHAVIORAL MANAGEMENT, INC.
Entity Type:Organization
Organization Name:ALLIED BEHAVIORAL MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:CRIBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-640-2021
Mailing Address - Street 1:603 PECAN LN
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2949
Mailing Address - Country:US
Mailing Address - Phone:910-640-2021
Mailing Address - Fax:910-640-2022
Practice Address - Street 1:603 PECAN LN
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2949
Practice Address - Country:US
Practice Address - Phone:910-640-2021
Practice Address - Fax:910-640-2022
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIED CORPORATE MANAGEMENT GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty